Chiropractic Care and Autoimmune Conditions: What to Know

by
Dr. ShaKira Lee
|
June 1, 2020
|
Chiropractic
|
0 Comments
Healthcare provider discussing coordinated care considerations for an autoimmune condition

Autoimmune conditions occur when the immune system mistakenly targets the body's own tissues. These conditions can affect joints, muscles, nerves, skin, digestion, and other systems. Symptoms and treatment needs vary widely, which is why autoimmune conditions should be diagnosed and managed by qualified medical professionals.

Chiropractic care does not cure or treat the underlying immune dysfunction of an autoimmune disease. Some people with an established diagnosis may consider conservative care for separate musculoskeletal concerns such as joint stiffness, back pain, or reduced mobility. Any care should be coordinated with the patient's medical team and adapted to the condition, medications, and current symptoms.

Understanding Autoimmune Conditions

There are many autoimmune diseases, including rheumatoid arthritis, lupus, multiple sclerosis, inflammatory bowel disease, and others. Each has different diagnostic criteria, treatment approaches, and potential complications. The MedlinePlus autoimmune diseases overview explains how these conditions can affect the body and why medical evaluation is important.

Symptoms such as fatigue, joint pain, swelling, numbness, digestive problems, or skin changes can have many causes. They should not be used to self-diagnose an autoimmune condition.

Can Chiropractic Care Treat an Autoimmune Disease?

Chiropractic care does not correct the immune-system process that causes an autoimmune disease, and it should not replace medical treatment. Claims that an adjustment can cure, reverse, or treat an autoimmune disease should be approached cautiously.

When appropriate, a chiropractor may help evaluate and conservatively manage a separate muscle or joint complaint. The plan may include gentle manual care, mobility work, exercise guidance, or referral to another provider. The approach should be individualized and may need to change during a symptom flare.

Important Safety Considerations

Before beginning conservative care, tell the provider about your diagnosis, current symptoms, medications, previous surgeries, bone-density concerns, and recommendations from your medical team. Certain autoimmune conditions and medications can affect joints, connective tissue, bone strength, healing, or infection risk.

Seek prompt medical care for new weakness, severe or rapidly worsening pain, fever, chest pain, breathing difficulty, significant swelling, new neurological symptoms, or other concerning changes.

Questions to Discuss With Your Care Team

  • Is the current pain or stiffness related to the autoimmune condition or another cause?
  • Are there movements or manual techniques that should be avoided?
  • How should care change during a flare?
  • Could medications or bone-density changes affect treatment safety?
  • Would physical therapy, medical evaluation, or another specialty be more appropriate?

Coordinated Care at Delaware Integrative Healthcare

Delaware Integrative Healthcare offers chiropractic care and other services through a patient-centered approach. For patients living with autoimmune conditions, the goal of a conservative evaluation is to understand the specific musculoskeletal concern and determine whether care is appropriate alongside the patient's existing medical plan.

Explore our Delaware locations to discuss your needs. Bring a current medication list and relevant recommendations from your medical team.

This article is for educational purposes and is not a diagnosis or a substitute for individualized medical advice.

Related Care and Resources

Related reading: 3 Winter Related Health Problems Helped By Chiropractic Care.

Why Autoimmune Symptoms Can Be Complex

Autoimmune diseases occur when the immune system mistakenly attacks the body’s own tissues. Different conditions can affect joints, muscles, skin, nerves, organs, or multiple systems. Symptoms may fluctuate, and fatigue or pain can have several causes. Diagnosis and disease management belong with qualified medical professionals, often including a primary-care clinician and a specialist such as a rheumatologist.

The Role of Supportive Musculoskeletal Care

Some people with an autoimmune condition also experience mechanical back pain, stiffness, reduced mobility, or discomfort related to inactivity. Conservative musculoskeletal care may sometimes help with those separate concerns. It does not suppress the autoimmune process, replace prescribed medication, or prevent organ damage. The plan should be coordinated with the clinicians managing the underlying disease.

How Disease Activity Changes Treatment Decisions

Care that is reasonable during a stable period may not be appropriate during an active flare. Inflamed joints, fragile bones, neurologic symptoms, medication effects, or previous surgery can influence which techniques are safe. Gentle mobility work or exercise modification may be more appropriate than forceful treatment. Your provider needs an accurate diagnosis, medication list, and understanding of current disease activity.

Medication and Bone-Health Considerations

Corticosteroids and some other medications can affect bone health, infection risk, or healing. Autoimmune conditions themselves may also increase osteoporosis risk. Tell every provider about medications, infusions, recent infections, and known bone-density concerns. This information can change examination and treatment choices.

Movement, Fatigue, and Pacing

Appropriate movement can support strength, mobility, cardiovascular health, and daily function, but overexertion may worsen symptoms for some people. Pacing means balancing activity and recovery, breaking demanding tasks into smaller parts, and adjusting during flares. A sustainable program respects both the benefits of activity and the reality of fatigue.

Symptoms That Need Medical Review

Contact the appropriate medical professional for new fever, unexplained weight change, significant swelling, chest pain, breathing difficulty, new neurologic symptoms, severe weakness, or signs of infection. New symptoms should not automatically be assumed to be part of an existing autoimmune diagnosis.

Creating a Coordinated Care Plan

Ask each provider to explain their role. Your medical team manages diagnosis, medications, monitoring, and disease activity. A musculoskeletal provider may help with selected movement or pain concerns when appropriate. Clear communication and realistic goals help supportive care complement, rather than compete with, necessary medical treatment.

Schedule Your Next Step

Learn more about Dr. ShaKira Lee or review care available at our Middletown office. New patients can request an appointment online, and current patients can use the existing-patient scheduling page.

This article provides general educational information and does not replace an individualized evaluation or medical advice.

Primary Chiropractic Resource

For a broader overview and more related patient guides, visit Answers to Your Top 10 Questions About Chiropractic Care.

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